| Doctor Name: | DR. OPEYEMI OLUBUNMI POPOOLA |
| NPI Number: | 1730342114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A120909 |
| Business Practice Address: | 1582 W San Marcos Blvd San Marcos, CA - 920784081 |
| Business Phone Number: | 7605919975 |
| Business Fax Number: | |
| Mailing Address: | 1582 W San Marcos Blvd, SAN MARCOS |
| State: | CA |
| Postal Code: | 920784081 |
| Phone Number: | 7605919975 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2008 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A120909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |